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PTSD trajectories across different mental disorders in the second year of the COVID-19 pandemic in Italy: a naturalistic, longitudinal, multicenter study.
Carmassi, Claudia; Tosato, Sarah; Bertelloni, Carlo Antonio; Pedrinelli, Virginia; Cappelli, Andrea; Abbate-Daga, Giovanni; Albert, Umberto; Castellini, Giovanni; Luciano, Mario; Menchetti, Marco; Pompili, Maurizio; Sampogna, Gaia; Signorelli, Maria Salvina; Massimetti, Gabriele; Fiorillo, Andrea.
  • Carmassi C; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Tosato S; Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
  • Bertelloni CA; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Pedrinelli V; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Cappelli A; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Abbate-Daga G; Department of Neurosciences "Rita Levi Montalcini", University of Turin, Turin, Italy.
  • Albert U; Department of Medicine, Surgery and Health Sciences, University of Trieste and Department of Mental Health, Azienda Sanitaria Universitaria Giuliano Isontina - ASUGI, Trieste, Italy.
  • Castellini G; Department of Health Sciences, University of Florence, Florence, Italy.
  • Luciano M; Department of Psychiatry, University of Campania "Luigi Vanvitelli," Naples, Italy.
  • Menchetti M; Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
  • Pompili M; Department of Neuroscience, Mental Health and Sense Organs, University of Rome "La Sapienza", Rome, Italy.
  • Sampogna G; Department of Psychiatry, University of Campania "Luigi Vanvitelli," Naples, Italy.
  • Signorelli MS; Department of Clinical and Experimental Medicine, Psychiatry Unit, University of Catania, Catania, Italy.
  • Massimetti G; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Fiorillo A; Department of Psychiatry, University of Campania "Luigi Vanvitelli," Naples, Italy.
Int Rev Psychiatry ; 34(7-8): 797-808, 2022.
Article in English | MEDLINE | ID: covidwho-2187164
ABSTRACT
The potentially traumatic impact of the COVID-19 pandemic in subjects with pre-existing mental disorders is still unclear, especially regarding its long-term consequences. The aim of this study was to prospectively assess post-traumatic stress disorder (PTSD) and post-traumatic stress symptoms (PTSS) in patients with mental disorders, during the 3rd wave of the infection (T0, March-April 2021) while strict containment measures were applied in Italy, and after 3 months (T1, June-July 2021), with reduced restrictive measures. A total sample of 527 subjects, with different DSM-5 diagnoses, was consecutively enrolled at nine Italian psychiatric outpatient services. Assessments at T0 included the Trauma and Loss Spectrum-Self Report (TALS-SR), the Impact of Event Scale-Revised (IES-R) and the Work and Social Adjustment Scale (WSAS). These two latter were repeated at T1. Results showed that at T0, 43.6% of the sample reported symptoms of PTSD, with females (p = .004), younger subjects (p = .011), unemployed/students (p = .011), and living with their parental families (p = .017), resulting more affected. Differences in PTSD rates emerged across diagnostic groups ranging from 10% in patients with psychoses up to 59% in those with feeding and eating disorders. An improvement at T1 emerged in all diagnostic groups for the IES-R scores, while WSAS scores improved only in subjects with mood disorders. In conclusions, subjects with mental disorders presented relevant rates of PTSD and PTSS at 1-year into the pandemic. Further long-term studies are needed to follow-up the course of pandemic traumatic burden especially in patients with severe mental disorders.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stress Disorders, Post-Traumatic / Feeding and Eating Disorders / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Female / Humans Country/Region as subject: Europa Language: English Journal: Int Rev Psychiatry Journal subject: Psychiatry Year: 2022 Document Type: Article Affiliation country: 09540261.2022.2145184

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stress Disorders, Post-Traumatic / Feeding and Eating Disorders / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Female / Humans Country/Region as subject: Europa Language: English Journal: Int Rev Psychiatry Journal subject: Psychiatry Year: 2022 Document Type: Article Affiliation country: 09540261.2022.2145184